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90-10136890 - /0136 8 FCITY OF EDERAL WAY BUILDING PERMIT BUILDI94 IN 55ECTION "INSPECTION REQUEST LINE -946-6794 90-1577 P QUAIL RUN III 31500 33 PL SW (BLDG 5) PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOR PUGET SOUND MECH ADDRESS 10015 19 AVE E TACOMA CONT. PHONE 537-8900 PUGETI*217LQ 12/90 (OKIWNER'S 854-9610 10803 RENT KANGLEY RD RENT CONT. REG. NO. PHONE OWNER'S ADDRESS TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN__ GRADING OTHER PLUMBING ONLY TAX ACCOUNT NO. -*A- 122103-9131 LEGAL DESCRIPTION NA j.ul 41 ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 10/l/90 BUILDING INFORMATION NE NA OCCUPANCY _SLA_- __ TYPE OF CONSTRUCTION PLUMBING ONLY BLDG. SQ. FT. NA ET BACKS: FRONT NA_ SIDE NA REAR__ NA STORIES NA _ _ HEIGHT LIMIT NA PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 12 ELEC. HOT WATER HEATER 8 GAS PIPING FT BOILER BATHTUBS 12 LAUNDRY DRAINS 8 COMPRESSOR _._ TANK(S) RECEIVED SHOWERSURINALS __ FORCED AIR FURNACE _ AIR HANDLING UNIT NUMBER _ ''nn LAVATORIES 20 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC. SINKS , _ 8 MISC. BASIC FEE ZQ_=QO CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS 8 TOTAL FIXTURES 76 X $5.00 UNIT HEATER TOTAL MECHANICAL NONE. AMOUNT NONE VALUATION NONE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE $ 400-00 MECHANICAL FEE RPTAL BLDG. FEES _ $00 _ 4 Q0 ART PIC FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE DATE PAID AMOUNT $400.00 RECEIPT f <_ / OTHER FEES AMOUNT DUE $ 400.00 ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: OWNER OR AGENT DATE q RECEIVED 0 *rmit # 0 C T 1 1590 CITY OF FEDERAL WAY CITY OF FEDERAL WAY BUILDING DEPT. BUILDING PERMIT APPLICATION T Please Print — —OR— I HAVE READ CHAPTER 18.27. 010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. woe - BOX 3 CONTACT PERSON -PAJ fAcL- 15 o PHONE 5.37-89oa 1'3- LQ. N" S BOX 1 TENANT NAME: EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER I As )0 3 01 131 OWNER Yo j .) s -pe-v-. SITE LOCATION 3(5c,rn 33 i2.D, P,acE 5 -vi. OWNER'S ADDRESS /oA o 3 ICFNtr K ArJr.L-sx CITY_ PHONE 85 3RD FLOOR / BASEMENT / DESCRIBE JOB FLU mB.. DLO, 4,*, s 5 BOX 8 ( ) SINGLE FAMILY g NEW CONSTRUCTION (x) MULTIFAMILY (NO. OF UNITS = ) ( ) THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X BOX 2 CONTRACTOR'S NAME —P, r 56U.vD mc- Lrt . CONTRACTOR'S REG. #Pur_Ei2-* ai7LCk Card MUST be presented CONTRACTOR'S ADDRESS 1-15 CITY TA PHONE 537-8506 EXPIRATION DATE ► 2- 3 t _q a —OR— I HAVE READ CHAPTER 18.27. 010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. woe - BOX 3 CONTACT PERSON -PAJ fAcL- 15 o PHONE 5.37-89oa BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER I As )0 3 01 131 LEGAL DESCRIPTION (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY g NEW CONSTRUCTION (x) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT PLUMBING FIXTURES (including rough -ins) NO. 19 WATERCLOSETS BATHTUBS SZ SHOWERS 20 LAVATORIES SINKS _DISHWASHERS ELECTRIC HOT WATER HEATER _LAUNDRY WASHER OUTLET URINALS DRINKING FOUNTAINS SUMPS, SPRINKLER VACUUM BREAKERS DRAINS OTHER TOTAL FIXTURES MECHANICAL APPLIANCES — BASIC FEE $ GAS PIPING, FEET $ NO. FURNACE, ELEC. GAS $ GAS HOT WATER HEATER $ CONVERSION BURNER $ BOILER, SIZE BTU $ FAIR HANDLING UNITS $ HEAT PUMPS, SIZE $ UNIT HEATERS $ AIR COOLING UNITS, SIZE $ COMMERCIAL HOOD $ OTHER $ $ TOTAL MECHANICAL FEE $ I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS' FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED, AND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. ANP -008 3/90 0 0 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS:FRONT_ PLANNING DEPARTMENT APPROVAL REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL REMARKS: SIDE REAR HEIGHT LIMIT DAT PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY TYPE OF CONSTRUCTION STORES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: RECEIVED 0 C T 1 1490 CITY OF FEDERAL WA BUILDING DEPT. RECEIVED ASSIGNED ADDRESS: PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt # BUILDING DEPARTMENT APPROVAL BY DATE_ PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE ACCEPTED FOR FILING FCITY OFEDERAL WAY BUILDING PERMIT BUILDI94 -IN�TION PERMIT NO. OWNER'S NAME JOB ADDRESS_ E CONTRACTOR ADDRESS CONT. PHONE _ CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS -_ TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY _ DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG.SO.FT. SET BACKS: FRONT SIDE REAR_ STORIES HEIGHT LIMIT PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR _ TANK(S) SHOWERS URINALS FORCED AIR FURNACE _ AIR HANDLING UNIT _ NUMBER LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC SINKS MISC. `HAST'. FEE i0+5C CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES 16 x i5-00 UNIT HEATER TOTAL MECHANICAL _- AMOUNT VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. i S.B.C.C. FEE VATE PAID tiX'iiM�`l. $400.00 C'�` IPT OTHER FEES._ AMOUNT DUE ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: OWNER OR AGENT DATE SET BACKS AND FOOTINGS DATE _..___..BY OX TO POUR FOUNDATION WALLS DATE BY _ PLUMBING GROUNDWORK DATE _ BY PLUMBING ROUGH IN DATE `Z_5�9/BY /_� WATER LINE O.K. GAS PIPING O.K. _ __- _ MECHANICAL INSPECTION DATE __ - _ _ BY _ O.K. TO ENCLOSE FRAMING DATE - --- --- BY - _ INSULATION DATE ----- _ BY WALL BOARD AND FIRE WALL DATE -... - BY FINAL O.K. TO OCCUPY DATE _..�/f�-� _...__BY �-mac .._...._- DCD PSD FD - ,YS /v A Gan «<�.167Waid i� L«Ce z